The patient is a 74-year-old female with generalized fatigue.

She is at the doctor's office for a follow-up visit.

Patient's chart:. Vital signs: all within normal ranges.

Medications: famotidine, duloxetine, lisinopril.

During a follow-up visit, the client diagnosed with fibromyalgia is concerned about always feeling tired.

Which response should the nurse make to this client?.

"You are fatigued because you sleep too many hours.”.

"Have you thought about getting a new mattress.”.

"Do you use electronics at bedtime.”.

"Your fatigue is most likely due to a sleep disturbance such as insomnia.”.

"Have you been worried about anything in particular?".

Answer and Explanation

The Correct Answer is D

Choice A rationale:
Sleeping too many hours can indeed cause fatigue. However, this is not the most likely cause in this case as the patient has fibromyalgia, which is often associated with sleep disturbances.
Choice B rationale:
While a new mattress might improve sleep quality, there’s no information suggesting that the patient’s mattress is a problem.
Choice C rationale:
Using electronics at bedtime can interfere with sleep, but again, there’s no information suggesting that this is the case here.
Choice D rationale:
Fibromyalgia is often associated with sleep disturbances such as insomnia. This is the most likely cause of the patient’s fatigue.
Choice E rationale:
Worrying can indeed cause fatigue, but there’s no information suggesting that the patient has been worried about anything in particular.

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Correct Answer is ["C","D"]

Explanation

Choice A rationale:
Hypoglycemia is a condition characterized by low blood sugar levels. However, the client is on Prednisone and NSAIDs, which do not typically cause hypoglycemia. Therefore, it’s unlikely that the client would develop this condition as a side effect of these medications.
Choice B rationale:
Weight loss could occur in some individuals taking Prednisone due to potential side effects like loss of appetite or stomach upset. However, it’s more common for individuals on Prednisone to experience weight gain due to increased appetite.
Choice C rationale:
Weight gain is a common side effect of Prednisone. This medication can cause increased appetite leading to weight gain. It can also cause fluid retention and redistribution of fat, particularly in the face, back of the neck, and abdomen.
Choice D rationale:
Hyperglycemia, or high blood sugar, is a potential side effect of Prednisone. This medication can cause an increase in blood sugar levels, which if persistently high, can lead to diabetes. Regular monitoring of blood glucose levels is recommended for clients on this medication.

A. "Ibuprofen is the first step in medication therapy for osteoarthritis.”. B. "You should restrict all physical activity to prevent further injury.”. C. "Pregnancy has no impact on OA if you keep your weight gain within the recommended limits.”. D. "Your pain from the OA may increase due to the weight gain of pregnancy.”.

Correct Answer is D

Explanation

Choice A rationale:
Ibuprofen is not the first step in medication therapy for OA. It can be used for pain relief but is not recommended during pregnancy.
Choice B rationale:
Restricting all physical activity is not recommended. Moderate exercise can help maintain joint flexibility and strength.
Choice C rationale:
Pregnancy can impact OA due to weight gain and hormonal changes. However, keeping weight gain within recommended limits can help manage symptoms.
Choice D rationale:
Pain from OA may increase due to pregnancy weight gain. This is an important point to include in teaching.

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Naxlex Comprehensive Predictor Exams

A nurse in a clinic is caring for a client who has a new diagnosis of systemic lupus erythematosus (SLE). Exhibits Based on the client's prescribed medications, the nurse should assess the client for developing? Select All that Apply

Correct Answer is ["C","D"]

Explanation

The nurse is preparing discharge teaching for a pregnant client who has been recently diagnosed with Osteoarthritis. Which of the following is most important to include in the patient teaching?.

Correct Answer is D

Explanation

A nurse in a provider's office is assessing a client who has been diagnosed with rheumatoid arthritis (RA). Which assessment finding does the nurse expect as a manifestation of this condition?.

The nurse is preparing discharge teaching for a client who has been recently diagnosed with Rheumatoid arthritis. Which of the statements made by the client would indicate the need for further teaching?.

A nurse is assessing a client who has systemic lupus erythematosus (SLE). Which of the following findings is the highest priority for the nurse to report to the provider?.

The nurse is assessing a client with osteoarthritis (OA) of the elbows and fingers. Which of the following clinical manifestations should the nurse expect to find?.

A client with systemic lupus has been ordered hydroxychloroquine. Which of the following adverse effects is of most concern?.

The nurse is caring for a client who is post-op day 1 from a laparoscopic cholecystectomy. Which task should the nurse delegate to the unlicensed assistive personnel?

A nurse is teaching a client who has a new diagnosis of gout about managing the disorder. Which of the following instructions should the nurse include in the teaching? (Select All that Apply.).